How To Get Off Weight 27 Years After Giving Birth Buttock Lift – Plastic Surgery in the Extreme Weight Loss Patient

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Buttock Lift – Plastic Surgery in the Extreme Weight Loss Patient

Like the rest of the body after a lot of weight loss, the buttocks area is not spared. Although this is not usually at the top of the list of desired body changes, it can become the focus after other higher priority areas such as the abdomen, arms and chest have been addressed.

Under the normal aging process, the buttocks sag over time, more in some people than in others. After losing too much weight, this relaxation is too much. Buttock deflation creates folds of loose, hanging skin that either fold over the lower buttock fold or cause the buttocks to shift lower as a whole. In women, this sagging effect is usually much greater than in men, as they generally have more skin and fat on their buttocks to begin with.

Buttock lift can be done by many different methods, approaching the problem either from above or below depending on the problem of the buttocks and what other simultaneous procedures are being done. One of the most effective methods is the upper or buttock lift which is the back half of a circumferential body lift. Skin and fat are cut around the waistline above the buttock area as part of the 360-degree excision of a body lift. While not as much skin can be removed from the lower back as the front of the abdomen, the buttocks can be lifted significantly. Think of this process as “pulling up your pants.” This butt lift can also be done on its own, without the front half of the body lift, but it would be unusual to have a very loose butt after weight loss without a tummy tuck as well.

While a body lift or upper buttock lift will lift loose skin, it will not cause the buttocks to “re-inflate” or resolve volume loss from weight loss. Essentially, the butt drop will improve but still be fairly flat. Some plastic surgeons do an “auto augmentation” at the same time using some skin and fat that would normally be discarded with the cut. You are essentially using your own tissue to serve as an implant. While this is a clever use of web flaps, it rarely adds significant bulk and often doesn’t place it where it’s really needed. (lower not higher) I remain not overly enthusiastic about this approach, even though it is your web. If someone eventually wants a butt that is bigger, I will usually get butt implants later.

Another type of butt lift is the bottom or bottom butt lift. This is an “old” approach that removes the skin from the lower half of the buttocks that protrudes from the buttock fold. This is usually not helpful in cases of extreme weight loss as it pulls the butt further down to cut through the skin. This pulls in the wrong direction for most patients. In cases of mild buttock sagging without significant volume loss, this type of buttock lift may be acceptable.

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